Ultrasound assessment of subclinical enthesitis in Ankylosing Spondylitis patients | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 5, May 2025, Pages 78-81 | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446557 | ||
| Authors | ||
| Abdalla H. R. Mohamed* ; Abdulaziz A. Mustafa; Abdelwahab M. N. Bayoumy | ||
| Department of Rheumatology and Rehabilitation, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: spondylarthritis (SPA) is a class of inflammatory illnesses that mostly affect the spine and other joints. While synovitis develops as a result of pro-inflammatory cytokines secreted from the enthesis, enthesitis can be the fundamental pathology. Aim: To assess subclinical enthesitis in Ankylosing Spondylitis patients using musculoskeletal ultrasound with Madrid scan and to find its relation to the acute phase reactant. Patients and methods: This research contained 50 Ankylosing spondylitis patients and 50 control. CBC, ESR, CRP and BASDAI was applied to define disease activity. Ultrasound assessment using Madrid score was applied to measure subclinical enthesitis at 6 pairs of enthesis. The study has been conducted in the Rheumatology & Rehabilitation department Al Hussain University Hospital. Results: Subclinical enthesitis were found at 34.8% of cases with significant correlation to erythrocyte sedimentation rate and C-reactive protein compared to the control group. Conclusion: The total Madrid score demonstrated good diagnostic accuracy for distinguishing AS cases from controls and helped in early detection and management of Ankylosing spondylitis to prevent further complications. | ||
| Keywords | ||
| Ankylosing Spondylitis; Subclinical Enthesitis; Musculoskeletal ultrasound | ||
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